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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HiGH BTREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A,M, <br /> <br />Other <br /> <br />SI~NATt.JR~ OF APPLICANT: <br /> <br /> QATE: ....... <br /> <br />ow~:'f'E: 09/!2/89 'T"~r'aE; 9:!2:39a TAX LOT: CATEGORY: <br /> <br /> Df'R~N '~'lov gOO~O,,-~90 <br />SITUS ADDRESS: ~ CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> CONTRACT CITY: UGB; <br /> ~?0 8TH ST <br />.~.UN!P,V I L LE OR 9'7325 <br />USE OF DUaL'DiNG: A(,.IMSV~ LLE NO <br /> <br /> PO BOX !85 <br /> SUBLZM;~TY OR 9?3,95 <br /> PHONE: ? 69.-'7364 <br />LOT; BLOCK: <br /> <br />SECTION: ~L3WNSH~P; <br /> <br />MAP: <br /> <br />75 95 ? 125- 08 -.dF NO NO <br /> <br />TYPE: ..EC/IAN~,.AL PERMZT OR APPL~CATZON NO; <br /> <br />18786 <br /> <br />CONTRACTOR, NO. 55~93 <br />TOM DORAN <br />PO BO)< 185 <br />SUBLIN~TY 97385 <br />PHONE: 769~7354 <br /> <br /> ITEP <br />DO~EST!C RANGE HOOD <br />DOM BXHS'r ~'A,NS & DRYER EN'T'S <br />1'4ECHAN1CAL BASE FEE' <br />?LEET SURCHARGE ~ZONE 3 <br />MECHANICAL STATE. f,'.~,UF4(':HARGE <br /> <br /> AY_.E: <br />RECE!'vEC, ~Y: PS <br /> <br />~L. '~,N"r l,' Tv .'.",.~'IOL,:'~, ~ <br />~ $.~. ~`9 <br />3 $9,90 <br /> $i`9.2,7.: <br /> $,:,, %$ <br /> $1. ~? <br /> <br /> %SE~=EO r~S .,,..8 `92 <br />TOTAL 5 c --- ¢.~. <br />P,REVIOUS RECEIPTS 4, Dp ~'~ <br />THI'SRECE£PT .~,. 'w', <br /> <br />BALANCE DUE $0 "~,, <br /> <br /> INVOICE NOt <br /> TYPE': CHECK ~: <br /> <br /> THIS IS A VALID PERNIT TH;[,S,"PEI:~,I;~T,,E~P'[RES' 180 pAYS F~ ITS I~E DATE. IF <br />~ST~CTI~ C~SES FOR A PERIOD';,OF ,~8'Q, DAYS, OR IF ,~T~CTI~ FAILS TO MEET ALL <br />REdIReCTS OF STATE ~ ~D' ~RI~, ~NTY BUILDING ~D Z~ING ORDIN~CES, THIS PE~ZT <br />~ALL BECOME NULL ~D VOIB. ,,, ,x, ,, ..... <br /> <br />RBIW~.R;<S: HD F'~ ' ' ' <br /> <br />OONA..D ~. ~OGDLEY, ~AR[ON CODNTY BUIL. D[NG OFF[C[.a.L / BY <br /> <br />OFFICE COPY <br /> <br /> <br />